Culture In Nursing Discussion

Read chapter 11, 26 and 30 of the class textbook and review the attached Power Point presentations.  Read content chapter 30 in Davis Plus Online Website.  Once done answer the following questions;

1.  As eastern cultures, if there any similarity between the Greek and the Hindu heritages.  Discuss your point of view.

2.  How Cubans see their beliefs related to the delivery of health care.

3.  If there any similarity between the Greek and Hindu heritage with the Cuban beliefs in healthcare.

As stated in the syllabus present your assignment in an APA format, word document, Arial 12 font attached to the forum in the discussion board tab title “week 13 discussion question”.  You must used at least 2 evidence based references besides the class textbook and post two replies to any of your peers sustained with the proper references.  A minimum of 500 words are required.

Culture In Nursing Discussion

The Evidence-Based Practice Movement

The Cochrane Collaboration was an early contributor to the EBP movement. The collaboration was founded in the United Kingdom based on the work of British epidemiologist Archie Cochrane. Cochrane published an influential book in the 1970s that drew attention to the dearth of solid evidence about the effects of health care. He called for efforts to make research summaries of clinical trials available to health care providers. This eventually led to the development of the Cochrane Center in Oxford in 1993, and an international partnership called the Cochrane Collaboration, with centers established in locations throughout the world. Its aim is to help providers make good decisions about health care by preparing and disseminating systematic reviews of the effects of health care interventions.

At about the same time, a group from McMaster Medical School in Canada (including Dr. David Sackett) developed a clinical learning strategy they called evidence-based medicine. The evidence-based medicine movement has shifted to a broader conception of using best evidence by all health care practitioners (not just physicians) in a multidisciplinary team. EBP is considered a major shift for health care education and practice. In the EBP environment, a skillful clinician can no longer rely on a repository of memorized information but rather must be adept in accessing, evaluating, and using new evidence.

The EBP movement has advocates and critics. Supporters argue that EBP is a rational approach to providing the best possible care with the most cost-effective use of resources. Advocates also note that EBP provides a framework for self-directed lifelong learning that is essential in an era of rapid clinical advances and the information explosion. Critics worry that the advantages of EBP are exaggerated and that individual clinical judgments and patient inputs are being devalued. They are also concerned that insufficient attention is being paid to the role of qualitative research. Although there is a need for close scrutiny of how the EBP journey unfolds, an EBP path is the one that health care professions will almost surely follow in the years ahead.